“…Skin health The decline of estrogen at menopause, which leads to a loss of collagen and diminished vascular perfusion, is associated with skin changes including thinning of the skin, dryness, wrinkling, altered barrier function, and decreased healing (Prystowsky & Franck, 2000; Varila et al, 1995). These skin changes have significant impact on women with physical disabilities because skin integrity plays a significant role in their quality of life and health (Vandenakker & Glass, 2001).…”